| NPI | 1386197341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135439) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 807308) |
| 163W00000X Registered Nurse (Licence: PA RN621735) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R 241060-1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 4887) | |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2018-04-16 |